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1154435626
VIVIAN PETERSON
LYNN, MA
NPI
1154435626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 1017472)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
-- VIVIAN PETERSON LICSW
269 UNION ST
LYNN, MA 01901
Phone number: 781-595-7747
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Mailing Address
-- VIVIAN PETERSON LICSW
PO BOX 526
LYNN, MA 01903
Phone number: 781-596-2502
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